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PLAN �EVIEIN CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ✓�J �'W� � ( �n�"� Permit No.: �(� ^���7 <br /> Description of work: Iv� iTVU,�J Date Rec'd: �'1���� <br /> Septic review by: �aQNV'(.► �-- w(�,�'G� �" C/�Date Approved: �~ <br /> Zoning review by: Date Approved: � � �T�� <br /> Building review by: Date Approved: � � � <br /> Grading review by: Date Approved: <br /> Zoning District: �u,Q Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Sign��.�Yes No Resolution/NA <br /> Zoning: LotArea: F AC Width: : ��SF �� � <br /> Survey Submitted: �es 0 No Date of Survey: ��' 1 ' � W Revised date(?): 1 'i7'�1 <br /> Landscape plan submitted? q�es Landscaper: � � No/None proposed <br /> � o �UxY�I �hpw� oic.o� � Y•8��17 <br /> Pro osed Setbacks: —�CR� � "1 <br />��p� Front(�e�t Rear(��r��r ( � S E W ) ( N E W ) Other Buildings Wetland <br />�IJ" Side �de <br /> � �, / �r g' <br /> Buildinq Heiqht Analvsis: <br /> � ,� ' - Distance Between First Floor and defined Top of <br /> (, �� � Roof See "buildin hei ht" definition : �a� � � ,,.� <br /> ��03 <br /> � � First Floor Elevation from buildin lans : (b) ^-,f,-;;, ���.� Z ��"� ] � 1 <br /> Highest Existing ground level (per survey) or 10' ��� , SUrdc,�/) <br /> � � above lowest round level, whichever is lower. �'�J�-� <br /> '�� -� Difference between b and c : (d) � <br /> DEFINED HEIGHT If highest existing grade is: �e� �1 <br /> [ above FFE-Height is(a)-(d) � <br /> below FFE-Height is(a)+(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �Yes 0 No <br /> Permit Number: �� — 33 0 Yes 0 No �N/A � Ye No <br /> � N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> /�--� �,(�07Q � Yes No � Yes No <br /> 1 2 3 04 5 /. � -�'J �� S� TYpe(S): Type(s): <br /> �/ <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />